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Jared Michael Coffman
Student in an Organized Health Care Education/Training Program in Forest, Virginia
NPI 1972902815

Jared Michael Coffman is a Student in an Organized Health Care Education/Training Program based in Forest, VA. Jared Michael Coffman practices in Forest, VA. The NPI Number for Jared Michael Coffman is 1972902815 and holds a License No. (Virginia).

The current practice location address for Jared Michael Coffman is 140 Odara Dr Apt 106, Forest, VA and can be reached out via phone at 434-610-0540.

Location: 140 Odara Dr Apt 106, Forest, VA, 24551-3161
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972902815
Provider Name
Jared Michael Coffman
Credential
Provider Entity Type
Individual
Gender
Male
Address
140 Odara Dr Apt 106, Forest, VA, 24551-3161
Phone Number
434-610-0540
Fax Number
Provider Enumeration Date
08/15/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
140 Odara Dr Apt 106
City
Forest
State
Virginia
Zip
24551-3161
Phone Number
434-610-0540
Fax Number
person
Provider Business Mailing Address Details
Address
140 Odara Dr Apt 106
City
Forest
State
Virginia
Zip
24551-3161
Phone Number
434-610-0540
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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